HS 326 case studies
HS 326 · Put your knowledge to work in context.
HS 326, Health Science Reasoning and Evidence-Based Practice, is a multiple-choice assessment of whether a candidate can move from a clinical or public-health question to a defensible answer: framing the question, judging study design, reading results critically, and deciding whether and how the evidence should change practice. It suits students and early-career practitioners in nursing, allied health, public health, medicine, and health administration, plus anyone whose role involves appraising literature, interpreting population data, or sitting on guideline, quality-improvement, or journal-club committees. The HS 326 case studies are 5 cases and about 3,523 words.
1Randomizing Facilities, Analyzing Patients
A multicenter research team plans a cluster randomized trial of a pharmacist-led deprescribing intervention in 12 nursing homes. Six homes will receive the intervention and six will provide usual care; each home has about 40 long-term residents, for a planned total of 480.
737 words, about 4 min2A Protective Supplement with a Lopsided Funnel Plot
A national guideline panel is debating whether to recommend vitamin D supplementation to prevent hip fracture in adults aged 65 and older. A commissioned meta-analysis pooled 18 observational studies with 240,000 participants and reported a pooled relative risk of 0.82 (95% CI 0.68-0.99) for hip fracture with supplementation.
693 words, about 3 min3The Rapid Response Team's Significant Quarter
A hospital quality-improvement team reports that its new rapid response team reduced inpatient mortality. Before the team launched, 4,000 consecutive admissions had 128 deaths (3.2%).
670 words, about 3 min4Shrimp at the Reception
At a wedding reception, 180 guests were served a buffet. Within 48 hours, 68 guests developed diarrhea and vomiting.
732 words, about 4 min5Anticoagulation in a Faller with Atrial Fibrillation
An 82-year-old woman with atrial fibrillation, hypertension, diabetes, and heart failure lives alone. Her CHA2DS2-VASc score is 6 and HAS-BLED score is 4.
691 words, about 3 min